done enough?

On placement this year I treated a 65 yr old male who was stung by a bee and had a anaphylactic reaction resulting in secondary hypoxic brain injury 8 years ago. His main symptom from the injury was severe short term memory loss. I have been treating him following discharge from hospital after he overdosed on his medications due to ST memory loss. He is also a recently rehabilitated alcoholic. For this patient we worked closely with the social worker. He is currently still living at home and receives silver chain assistance with showering and cleaning. This mans balance is poor and he has a history of falls. We prescribed him a HEP comprising balance exercises. He would not remember or be motivated enough to complete the HEP so much we needed someone to do the exercises with him. He has no supportive family near by. We tried referring him to HIP (home independence program) and PEP (personal enablement program) for which he was both not suitable. We also considered a falls clinic but he would not remember to attend and they would only see him once a week. We also contacted silver chain to ask if one of his carers would mind spending 5 mins doing his exercises each day- they said no. Lastly we contacted care options who provide services as part of a HACC who have agreed to review him and we are waiting on their response. If he is not suitable for care options we have no more options for this patient. Which seems silly because he will definitely end up in hospital again some time soon and they will go through the same discharge process as we went through now. So I guess my main reason to write this was to enlighten an interesting case and to contribute to a never ending debate about “when have we done enough”.